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Dr. Callan Donovan, DMD
Student in an Organized Health Care Education/Training Program in Lynn, Massachusetts
NPI 1609498948

Callan Donovan is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Callan Donovan practices in Lynn, MA and has the professional credentials of DMD. The NPI Number for Callan Donovan is 1609498948 and holds a License No. DN1859330 (Massachusetts).

The current practice location address for Callan Donovan is 77 Broad St, Lynn, MA and can be reached out via phone at 781-490-9518. You can also correspond with Callan Donovan through the mailing address at 501 CONGRESS ST APT 720, BOSTON, MA - 02210-2922 (mailing address contact number: 207-712-5151).

Location: 77 Broad St, Lynn, MA, 02210-2922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609498948
Provider Name
Callan Donovan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
77 Broad St, Lynn, MA, 02210-2922
Phone Number
781-490-9518
Fax Number
Provider Enumeration Date
05/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
77 Broad St
City
Lynn
State
Massachusetts
Zip
01902-5003
Phone Number
781-490-9518
Fax Number
person
Provider Business Mailing Address Details
Address
501 Congress St Apt 720
City
Boston
State
Massachusetts
Zip
02210-2922
Phone Number
207-712-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
()
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1859330 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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